ENG20170152-SS.pdfZ� MAW
4"Jad CITY OF EDMONDS
121 5TH AVENUE NORTH -EDMONDS, WA 98020
18x1
PHONE: (425),771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITEi*
STATUS: ISSUED ENG20170152
SIDE SEWER PERMIT (I-Sk!g1c Fr6i
Permit Number: ENG20170152 Expiration Date: 05/10/2018
Job Address: 21254 80TH AVE W, EDMONDS
APPLICANT CONTRACTOR
PRIDE VENTURES PRIDE VENTURES
320 DAYTON ST SUITE 108 320 DAYTON ST SUITE 108
EDMONDS, WA 98020 EDMONDS, WA '98020
(425)422-0053
LICENSE #: PRIDEVL890R2 _ EXP: _01 /15/2018
.1OB DESCRIPTION
Y REPAIR N PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP N `PROPOSE TO REUSE SIDE SEWER N DRAINAGE
INSTALL SIDE SEWER
EASEMENTINFORMATION
NPROJECT CROSSES OTHER PRIVA TE PROPERTY
N VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMNITY The Applicant has signed an application which stales he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may made against the City of Edmonds or
any ofils departments; or employees, including but not limited to the defense ofany legal proceedingsincluding defense costs and
attorneyfees by reason ofgranting thispermit.
CALL DIAL A-DIG(1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425)771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTTON REQUESTS
APPLICATION APPROVAL
THIS APPLICATION IS NOT A'PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTdS ACKNOWLEDGED IN
SPACE PROVIDED,
Printed: Wednesday,May 1, 2017,
Chv ttl�a kva kid 5/10/2017
RELEA SED BY DATE
XFILECOPY ❑ INSPECTOR COPY APPLICANT COPY
i
• Refer to City of Edmonds Side Sewer Information handout for approved pipe materials, inspections and other requirements.
• A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
• Maintain 10' separation between the sanitary side sewer and the water service line.
• Applicant, shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
• Sound/Noise originating from temporary construction sites as a result of construction` activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of?:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the
noise' limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for 'damages 'of
whatever nature, arising directly or indirectly fi•om the issuance ofthis pen -nit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements .ofany City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
INSPECTIONS
• E -Sanitary Side Sewer Inspection
PARTIAL INSPECTION' DATE: INITIAL: NOTES:
PARTIAL' INSPECTION DATE:_ ry fNITIAL: NOTES:
FINAL INSPECTION APPROVED - DATE:_